Abstract
We illustrate the motives of online health information seeking in the context of the doctor-patient relationship in Switzerland. We conducted semistructured interviews with patients who searched for health information online before or after a medical consultation. Findings suggest that patients sear...
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PMID: 20442347
PDF is available here.
Abstract
Few patients read their doctors' notes, despite having the legal right to do so. As information technology makes medical records more accessible and society calls for greater transparency, patients' interest in reading their doctors' notes may increase. Inviting patients to review these notes could...
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PMID: 20643992
PDF is available here.
Abstract
The sharing of clinical information between ehealth systems requires a common terminology, and SNOMED CT is seen as an acceptable solution for this task. Widespread adoption of SNOMED CT may mean that other terminologies, particularly those of citizens and patients, are sidelined or ignored. This pa...
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PMID: 20543310
PDF is available here.
Abstract
Tie financial portal strategy into overall portal strategy. Savings from patient portals for finance come in the areas of call center volumes, bill pay, scheduling, and increased volume. Financial functions on the patient portal should be balanced with clinical functions. Improve the revenue cycle p...
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PMID: 19514235
PDF is available here.
Abstract
While the trend has been slowed by the economy, portal adoption is growing. CIOs are deploying portals that enable patients to access lab results, request or cancel appointments and get discharge information. Some portals enable patients to communicate directly with physicians and view their records...
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PMID: 19514236
PDF is available here.
Abstract
We developed an Internet-based personal health record that provides patients with general and personal information about their treatment and that provides facilities for communication with fellow patients and with physicians. Because not much is known about information and communication needs of IVF...
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PMID: 18440509
PDF is available here.
Abstract
Our web-based system facilitates communication between patients and HC, improves the quality of care and enables patients to use these information at any time and from anywhere in the world....
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PMID: 18976246
PDF is available here.
Abstract
Letters accounted for 70 per cent of the total correspondence in the children's notes. Most of the 466 letters were from doctors (65 per cent) with nine per cent having been sent by community children's nurses. Before the initiative 70 per cent of letters from medical staff were copied compared to 7...
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PMID: 18980038
PDF is available here.
Abstract
Google, Microsoft and even Medicare are venturing into the brave new world of personal health records. These players will raise the visibility of the service, but questions linger over how secure the records are and if patients will actually use them.
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PMID: 19062435
PDF is available here.
Abstract
Under the Health Insurance Portability and Accountability Act (HIPAA) of 1996, all dental offices are required to formulate policies and procedures to ensure and secure patient privacy of health information. This article reviews the essential points of such a plan and makes recommendations for imple...
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PMID: 18501742
PDF is available here.
Abstract
Good-quality patient care extends beyond effective treatment to include good communication about therapeutic options, side effects, and the development of trust and confidence. The survey revealed some disparities in physicians' and patients' views, but demonstrated that a strong patient-physician r...
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PMID: 18507893
PDF is available here.
Abstract
Recent findings show an increase in donor programs that offer open-identity between donors and offspring. The psychological needs of gamete donors and their attitudes toward disclosure are increasingly given consideration. Qualitative research on how parents of donor gamete offspring make decisions...
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PMID: 18460941
PDF is available here.
Abstract
Studies describe a range of benefits from copying letters, but implementation remains inconsistent, ranging from 8 to 87% of patients reporting receiving copy correspondence. A number of concerns are identified which may be delaying whole scale adoption of the policy by health professionals. CONCLUS...
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PMID: 18222056
PDF is available here.
Abstract
The receipt of an endoscopy report at discharge reduces postprocedure anxiety, improves recall of findings and recommendations, and may increase compliance. This inexpensive and safe practice should be routinely adopted....
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PMID: 18155431
PDF is available here.
Abstract
Patient access to personal health information is a fundamental issue for patient engagement and empowerment. Health care professionals and organizations should consider the potential benefits and risks of patient access when developing EHR strategies. Flexible, standardized, and interoperable soluti...
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PMID: 18974036
PDF is available here.
Abstract
With a small sample size, this study identified a modest impact of a PCHR-based employee health program on influenza prevention and control. Employees found the PCHR acceptable and easy to use, suggesting that it should be explored as a common medium for health promotion in the workplace. TRIAL REGI...
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PMID: 18343794
PDF is available here.
Abstract
BACKGROUND: Integrated personal health records (PHRs) offer significant potential to stimulate transformational changes in health care delivery and self-care by patients. In 2006, an invitational roundtable sponsored by Kaiser Permanente Institute, the American Medical Informatics Association, and t...
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PMID: 18837999
PDF is available here.
Abstract
Promoting the use of computerized portals requires patient-based adaptations. These should include ease of use, direct provider e-mail, and reassurances that access and interpersonal relationships will not be lost. Education is needed about privacy concerns regarding traditional e-mail communication...
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PMID: 18095039
PDF is available here.
Abstract
We develop a governance model and compare it to the practices of some of the early PHR adopters, including hospitals and ambulatory care settings, insurers and health plans, government departments, and commercial sectors. Decision-making structures varied between organizations. Business operations w...
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PMID: 18952939
PDF is available here.
Abstract
We also briefly discuss other research related to PHRs, PHR research funding sources, and PHR business models. We believe that additional PHR research can increase the likelihood that future PHR system deployments will beneficially impact healthcare costs, quality, and efficiency....
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PMID: 18756002
PDF is available here.
Abstract
We present three case studies--MyChart at Palo Alto Medical Foundation, PatientSite at Beth Israel Deaconess Medical Center, and Indivo at Children's Hospital Boston. We describe our implementation challenges from 1999 to 2007 and postulate the evolving challenges we will face over the next five yea...
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PMID: 17947615
PDF is available here.
Abstract
Patients today are better educated and more assertive than ever before, and dentists must be equipped to protect themselves against malpractice claims. Handle every record as if it could be summoned to a courtroom and scrutinized by an attorney, judge, or jury. Complete, accurate, objective, and hon...
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PMID: 18630845
PDF is available here.
Abstract
We provide a framework for understanding and addressing the challenges posed by child, adolescent, and family access to PCHRs....
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PMID: 18755989
PDF is available here.
Abstract
Despite the promise of better health care through information-centric patient empowerment, little progress has been made. The issue is not that the data do not exist in a useable form, nor that technologies are lacking that would enable access to this information. There are two primary challenges st...
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PMID: 18560090
PDF is available here.
Abstract
The strategy for utilizing information technology in the field of social welfare and health care in Finland was published in 1996. It was redefined in the year 2006. This updated strategy defined basic principles how digitized EHRs should be stored, accessed, disclosed and archived. The strategy tog...
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PMID: 18560100
PDF is available here.
Abstract
Electronic Health Record (EHR) systems are becoming more and more sophisticated and include nowadays numerous applications, which are not only accessed by medical professionals, but also by accounting and administrative personnel. This could represent a problem concerning basic rights such as privac...
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PMID: 18560089
PDF is available here.
Abstract
We present in this paper a system that provides health care professionals with an indication of the quality of health data in a PHR. This indication is based on the reputation of the supplier and on metadata provided by measurement devices. The proposed reputation system mimics the way in which trus...
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PMID: 18487778
PDF is available here.
Abstract
e-Health requires the sharing of patient related data when and where necessary. Electronic health records promise to improve communication between health care providers, thus leading to better quality of patients' treatment and reduced costs. As highly sensitive patient information provides a promis...
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PMID: 18487812
PDF is available here.
Abstract
Healthcare is an increasingly collaborative enterprise involving a broad range of healthcare services provided by many individuals and organizations. Grid technology has been widely recognized as a means for integrating disparate computing resources in the healthcare field. Moreover, Grid portal app...
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PMID: 18487810
PDF is available here.
Abstract
The main problem for the patient who wants to have access to all of the information about his health is that this information is very often spread over many medical records. Therefore, it would be convenient for the patient, after being identified and authenticated, to use a kind of specific medical...
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PMID: 18560069
PDF is available here.
Abstract
In 2007, the Dutch National Technical Agreement (NTA) for Telemedicine was established. Telemedicine deals with care processes. The goals of Telemedicine were defined broadly, including quality of life in non-medical terms as seen from the patient's perspective: 1) independence, 2) self-reliance; 3)...
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PMID: 18560064
PDF is available here.
Abstract
With personal health records (PHRs) acting much like ATM cards, increasingly wired consumers can "bank on health", accessing their own personal health information and a wide array of services. Consumer-owned, the PHR is dependent upon the existence of the legal electronic medical record (EMR) and in...
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PMID: 18376032
PDF is available here.
Abstract
We develop and test CONNECT (Care Online: Novel Networks to Enhance Communication and Treatment), a patient portal that integrates a suite of context-sensitive patient communication and information tools into a patient-clinician shared electronic health record that patients can use seamlessly throug...
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PMID: 18487708
PDF is available here.
Abstract
Out of 194 patients asked, 140 (72%) participated in the survey. Forty-eight percent were "highly satisfied", 47% were "quite satisfied" with their involvement in their treatment and 43% preferred to play a relatively passive role in decisions concerning treatments. When offered, 79% agreed to hold...
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PMID: 17825392
PDF is available here.
Abstract
Obstetric documentation processes may influence the clinical, behavioural, and psychological outcomes of pregnancy, although recent alterations to integrate obstetric documentation with pregnancy handheld records have been unsuccessful. Woman-held records as a companion to usual obstetric documentat...
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PMID: 17991110
PDF is available here.
Abstract
The survey response rate after successful patient contact was 74.2% (570/768). After adjusting for patient age, sex, race, socioeconomic status, and insurance type, the intervention significantly increased patient satisfaction with test results communication (odds ratio, 2.35; 95% confidence interva...
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PMID: 17998497
PDF is available here.
Abstract
We selected patients who were undergoing an IVF or ICSI treatment, have an Internet connection, and speak fluent Dutch. INTERVENTION(S): An Internet-based personal health record that provides patients with general and personal information concerning their given treatment and that also provides facil...
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PMID: 17416366
PDF is available here.
Abstract
Annual office visit rates decreased by 0.23 (-9.7%) visits per member in the cohort study. Annual office visit rates for users in the matched-control study decreased by 0.25 (-10.3%); the corresponding decrease for the controls was 0.08 (-3.7%). This 0.17 (-6.7%) reduction was significant (P < .003)...
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PMID: 17620037
PDF is available here.